Oral and Jaw Health in Bipolar Patients

Bandırma Onyedi Eylül University70 enrolled

Overview

The assessment of oral health, jaw health and related problems in bipolar patients is important to provide a holistic approach to patients in terms of physical, mental and psychosocial aspects and to improve quality of life. In this study, oral health, temporomandibular dysfunction (TMD) and oropharyngeal dysphagia (OD) were investigated in patients with Bipolar Disorder (BD).

During the remission period, 70 individuals aged 20-60 years with BD were divided into two groups according to the duration of diagnosis as under ten years (Group 1=33) and over ten years (Group 2=37). Oral and dental health-related quality of life was assessed with the Oral Health Impact Profile-14 (OHIP-14), TMJ pain was assessed with the Numeric Pain Scale (NPS), the presence of TMJ discomfort was assessed with the Fonseca Anamnestic Questionnaire (FAQ), chewing functionality was assessed with the Jaw Function Limitation Scale-8 (JFLS-8), and oropharyngeal dysphagia was assessed with the Eating Assessment Tool (EAT-10).

Study Type

OBSERVATIONAL

Enrollment

Conditions

Bipolar Disorders Oral Health

Eligibility

Sex: ALLMin age: 20 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients between 20 and 60 years of age who volunteered to participate in the study and signed the informed consent form, * diagnosed with BD at the outpatient department of Bakırkoy Prof. Dr. Mazhar Osman Mental Health and Neurological Diseases Training and Research Hospital, * in remission for at least 3 months, * had a history of regular lithium use for at least 1 year in any phase of the disease were included in the study. Exclusion Criteria: * being in a manic or depressive episode (Young Mania Rating Scale score greater than 7, Hamilton Depression Rating Scale score greater than 7) * history of comorbid psychiatric illness, * alcohol and substance use disorder, * cancer, neurological problems, congenital anomalies, musculoskeletal problems, systemic illness, * facial paralysis, * spinal, abdominal and/or TMJ surgery, * and having received any spinal or TMJ treatment in less than 6 months.

Locations (1)

Bakırkoy Prof. Dr. Mazhar Osman Mental Health and Neurological Diseases Training and Research Hospital

Istanbul, Turkey (Türkiye)

Outcomes

Primary Outcomes

Oral Health Impact Profile-14 (OHIP-14)

This scale, which has been shown to be valid and reliable in measuring oral and dental health-related quality of life, consists of 14 questions in 7 dimensions. Each question is scored from 0 (never) to 4 (always). The scale ranges from 0 to 56, with high scores indicating poor quality of life.